Juvenile temporal arteritis (JTA) is an uncommon nongiant cell arteritis of the superficial temporal artery occurring exclusively in older children and young adults without a history of trauma or evidence of systemic disease or localized symptoms. Of the 6 cases reported to date, there has been no recurrence after a simple surgical excision of the nodular artery for cosmetic reasons. We describe the first known case of bilateral JTA in a 21-year-old man and differential diagnoses are discussed to distinguish JTA from the classic giant cell (temporal) arteritis of the elderly, which requires corticosteroid drug treatment.